Kamis, 14 Maret 2013

what would be good nursing diagnosis for pt with hyperlipidemia?

Q. My assigned primary diagnosis is hyperlipidemia, and I need 3 dx. I am having a hard time figuring out the best way to approch. the only thing my pt has that affects her daily life is a low carb low fat diet. Can anyone help?

A. Ok as someone who had a Xanthoma removed from her upper eyelid, guess this would be a good visual sign of Cholesterol.
http://www.nlm.nih.gov/medlineplus/ency/article/001447.htm
Then I diagnosed the high cholesterol in my own Mother, as she had rings around her Iris.
http://www.bionordic.dk/vis_billed.asp?filename=kol.jpg
Mother Cholesterol was higher than mine and mine not high enough to warrant the Xanthoma. Always remember the skin can tell you a lot about the Health of a Patient.
Hope that helps.
I was also going to say hardening of the arteries as they get furred up with cholesterol deposits, which would lead to cardiovascular, high blood pressure.

What is the difference between hyperlipidemia and hypercholesterolemia?
Q.

A. Hypercholesterolemia (literally: high blood cholesterol) is the presence of high levels of cholesterol in the blood.
Hyperlipidemia is an elevation of lipids (fats) in the bloodstream. These lipids include cholesterol, cholesterol esters (compounds), phospholipids and triglycerides.
Hyperlipidemia is caused by an elevated level of any kind of lipid (fat) in the blood stream, while hypercholesterolemia is only caused by high cholesterol in the blood stream.

Do you have hyperlipidemia or high cholesterol ? How old are you ?
Q. I'm in my mid-30's and my triglycerides and cholesterol are high. Please share your experience.

A. I'm 48 and mine were high, too. My doctor gave me three months to try to get it down on my own. I went on a no-fat diet...nothing fried, no red meat. no butter or margarine. Fish, nuts and olive oil are OK because they have the healthy kind of fat. Foods only steamed, grilled, etc. No more sauteed Chinese food! In three months, I got my total cholesterol down 100 points and triglycerides down 75 points, both now in a good range so I don't need medicine. You can do it! It does take discipline.....I didn't cheat. Also, I lost weight from this diet.




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